Blood test, glucose (blood sugar)
Facility: Goodland Regional Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $39
- Cash Discount Price: $39
- vs. Medicare Baseline: 9.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $3.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 992% of the Medicare baseline (a markup of 892%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $9 | 229% |
| Wppa | $37 - $39 | 941% |
| UnitedHealthcare | $39 | 992% |
Consumer Guidance & Cost Commentary
At Goodland Regional Medical Center, the negotiated rate for a blood glucose test ranges between $37 and $39, which aligns closely with the facility's cash price of $39. This rate is significantly higher than the Medicare benchmark of $3.93, reflecting the standard administrative markup inherent in commercial insurance contracts. While the facility is a Critical Access Hospital in Kansas with government-local ownership, patients should be aware that cash payments often provide the most cost-effective option, particularly for those with high-deductible plans where the insurance negotiated rate may exceed the cash price. To maximize savings, it is advisable to inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
For patients relying on insurance, the allowed amounts from major payers like Blue Cross Blue Shield, Wppa, and UnitedHealthcare fall within the $9 to $39 range, confirming that the facility operates within the expected pricing structure for this service code. However, because the facility is out-of-network for some services or may involve ancillary providers, there is a risk of balance billing if the patient does not verify their network status beforehand. If a surprise bill arises, patients should request a formal itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected. It is also important to avoid signing consent waivers that waive rights to dispute out-of-network charges, ensuring that the No Surprises Act protections are maintained for emergency or mandatory care.